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颅缝发育与颅缝早闭的分子机制

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颅骨的发育依赖于颅缝(cranial suture)正常的骨供给,期间颅缝的间充质干细胞经历系统地增殖和成骨分化以保证骨的正常生长。遗传因素或外界干扰则可能引起干细胞的过度成骨分化,导致颅骨的过早闭合,称为颅缝早闭。颅缝细胞与细胞外基质、骨膜以及脑膜共同构成颅缝微环境(niche)。它们相互调节以保证颅缝的正常发育。临床研究发现,绝大多数颅缝早闭(cranio-synostosis)患者都伴有硬脑膜和细胞外基质(extracellular matrixc,ECM)的异常。许多研究也发现,作用于颅缝的异常外界机械刺激也可能导致颅缝发育的异常。考虑到颅缝发育受多方面因素影响,本篇综述将介绍近年来有关颅缝微环境异常,以及机械力在调控颅缝发育中的研究进展,总结颅缝早闭发生的分子机制和目前研究方向,旨在为该病的诊断治疗提供新的思路。
Molecular Mechanisms of Cranial Suture Development and Craniosynostosis
The development of the skull depends on the normal bone supply of the cranial suture.During this period,the cranial suture mesenchymal stem cells undergo systematic proliferation and osteogenic dif-ferentiation to ensure the normal growth of the bone.Cranial suture cells,extracellular matrix,perioste-um and meninges form the cranial suture niche and regulate each other to ensure the normal development of the cranial suture.Clinical studies have found that the vast majority of patients with craniosynostosis are accompanied by abnormalities of dura mater and extracellular matrix(ECM).Many studies have also found that abnormal external mechanical stimuli acting on cranial sutures may also lead to abnormal crani-al suture development.Considering that the development of cranial sutures is affected by many factors,this review will introduce the research progress of microenvironment in abnormal cranial suture and me-chanical force in the regulation of cranial suture development in recent years,and summarize the molecu-lar mechanism and current research direction of craniosynostosis,so as to provide new ideas for the diag-nosis and treatment of the disease.

craniosynostosisdura materextracellular matrix(ECM)mechanical force

叶剑青、胡雪峰

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福建师范大学生命科学学院,福建省发育与神经生物学重点实验室,福州 350117

颅缝早闭 硬脑膜 细胞外基质 机械力

福建省自然科学基金

2020J01180

2024

中国生物化学与分子生物学报
中国生物化学与分子生物学会 北京大学

中国生物化学与分子生物学报

CSTPCD北大核心
影响因子:0.617
ISSN:1007-7626
年,卷(期):2024.40(2)
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